Related Party Transactions (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Related Party Transactions
Total related party payments	$ 9,150	$ 744
Payments to Affiliated Entities | American Institute of Research
Related Party Transactions
Total related party payments	100	152
Payments to Affiliated Entities | Karen M Johnson
Related Party Transactions
Total related party payments	56	0
Payments to Affiliated Entities | Richard Barasch
Related Party Transactions
Total related party payments	12	0
Payments to Affiliated Entities | Anne M. McGeorge
Related Party Transactions
Total related party payments	44	0
Payments to Affiliated Entities | Mohit Kaushal
Related Party Transactions
Total related party payments	57	0
Payments to Affiliated Entities | Ravi Sarin
Related Party Transactions
Total related party payments	57	0
Payments to Affiliated Entities | Maeve O'Meara Duke
Related Party Transactions
Total related party payments	57	0
Payments to Affiliated Entities | Havencrest Capital Management, LLC
Related Party Transactions
Total related party payments	0	166
Payments to Affiliated Entities | M33 Growth LLC
Related Party Transactions
Total related party payments	0	353
Payments to Affiliated Entities | Richy Agajanian MD - Share Repurchases
Related Party Transactions
Total related party payments	8,745	0
Payments to Affiliated Entities | Richy Agajanian MD - Clinical Trials
Related Party Transactions
Total related party payments	22	21
Payments to Affiliated Entities | Veeral Desai
Related Party Transactions
Total related party payments	$ 0	$ 52